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1023243664
RYAN GALLANT
AUGUSTA, ME
NPI
1023243664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT1198)
Enumeration Date
2009-05-27
Last Update Date
2009-09-11
Business Address
-- RYAN GALLANT OTR/L
145 CONY RD
AUGUSTA, ME 04330-0501
Phone number: 207-441-0019
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Mailing Address
-- RYAN GALLANT OTR/L
10 MOOSE CIR
AUGUSTA, ME 04330-7886
Phone number:
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